Medical Qualification Requirements

Forms and Documents

Document Name	Status
PRA-2126-0006.SS.REG.030807. ew.mj.use.doc Supporting Statement A	0000-00-00

IC Document Collections

IC ID	Document Title	Status
26039	Medical Qualification Requirements	Modified

ICR Details

OMB Control No: 2126-0006	ICR Reference No: 200703-2126-001
Status: Historical Active	Previous ICR Reference No: 200310-2126-001
Agency/Subagency: DOT/FMCSA	Agency Tracking No:
Title: Medical Qualification Requirements
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/11/2007
	Date Received in OIRA: 03/13/2007
Terms of Clearance: The burden change appears due to an adjustment, not agency discretion. It has been corrected. Ensure that in the table the sources of burden change are correctly identified in the table and in the supporting statement and that the two agree.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	36 Months From Approved	05/31/2007
Responses	4,200,000	0	3,229,915
Time Burden (Hours)	1,541,534	0	1,185,876
Cost Burden (Dollars)	0	0	0

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Abstract: Commercial motor vehicle drivers who are subject to the Federal Motor Carrier Safety Regulations must meet certain medical requirements. This revision is due to a Notice of Revised Final Disposition titled, "Eligibility Criteria and Applications; Diabetes. Information is collected to ensure that the FMCSRs are met and that drivers are qualified to safely operate CMVs.

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Authorizing Statute(s): PL: Pub.L. 109 - 59 4129 Name of Law: Safe, Accountable, Flexible and Efficient Transportation Equity Act: A Legacy for Users
  

Citations for New Statutory Requirements: PL: Pub.L. 109 - 59 4129 Name of Law: Safe, Accountable, Flexible and Efficient Transporataion Equity Act: A Legacy for Users

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 61822	10/19/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 9995	03/06/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Medical Qualification Requirements

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,200,000	3,229,915	0	0	970,085	0
Annual Time Burden (Hours)	1,541,534	1,185,876	0	0	355,658	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This program change is due to an increase in the number of Skill Performance Evaluations (SPE) certificates from 1,600 to 3,400, vision exemptions from 600 to 1241 and a decline in diabetes exemption applications from 700 to 600 respondents.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/13/2007

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